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How can there be a systolic murmur in mitral stenosis without regurgitation in the mitral area?
3 doctors weighed in

Dr. Robert Binford
Surgery - Thoracic
1 doctor agrees
In brief: Pulmonary HTN
You're correct. Mitral stenosis produces a diastolic rumble or murmur. However, as mitral stenosis worsens patients develop pulmonary hypertension.
This in turn will increase the pressure in the right ventricle which could induce a normal tricuspid valve to leak. This murmur would be systolic.

In brief: Pulmonary HTN
You're correct. Mitral stenosis produces a diastolic rumble or murmur. However, as mitral stenosis worsens patients develop pulmonary hypertension.
This in turn will increase the pressure in the right ventricle which could induce a normal tricuspid valve to leak. This murmur would be systolic.
Dr. Robert Binford
Dr. Robert Binford
Thank
Dr. Bart Denys
Internal Medicine - Cardiology
In brief: Mitral stenosis
Aha! sophisticated question! you are correct in that mitral stenosis produces a loud s1, opening snap, followed by a diastolic rumble.
It would be unusual to have the typical findings of mitral stenosis with significant mitral insufficiency. However! there can be associated abnormalities such as aortic stenosis which would produce a systolic murmur!

In brief: Mitral stenosis
Aha! sophisticated question! you are correct in that mitral stenosis produces a loud s1, opening snap, followed by a diastolic rumble.
It would be unusual to have the typical findings of mitral stenosis with significant mitral insufficiency. However! there can be associated abnormalities such as aortic stenosis which would produce a systolic murmur!
Dr. Bart Denys
Dr. Bart Denys
Thank
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